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NMPSIA

NMPSIA. Benefits Program March 28, 2014. Today’s Topics. NMPSIA Overview Fund Balance Premium Changes PBM Request for Proposal Affordable Care Act Pending Rule Changes The Standard Special Enrollment ERISA Online Enrollment Update ERISA End of Month Processing Cutoff

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NMPSIA

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  1. NMPSIA Benefits Program March 28, 2014

  2. Today’s Topics NMPSIA Overview Fund Balance Premium Changes PBM Request for Proposal Affordable Care Act Pending Rule Changes The Standard Special Enrollment ERISA Online Enrollment Update ERISA End of Month Processing Cutoff Questions & Answers

  3. NMPSIA Today • Benefits and Risk Programs covering • Mandatory: 88 Public School Districts • Mandatory: 95Charter Schools • Optional: 25 Other Educational Entities • 11 Staff Members

  4. NMPSIA Board representation • 2 classroom teachers from NEA • 1 classroom teacher from AFT-NM • 3 Governor appointees • 1 Superintendents’ Association • 1 School Business Officials • 1 Educational Entities at Large • 1 School Boards Association • 1 Public Education Commission

  5. Benefits Enrollment

  6. FY 15 Benefits Request

  7. Benefits Fund Balance

  8. Increases October 1, 2014 Medical (all plans): 2.85% Applies to total premium (Er & Ee) UCCI Dental: No Change Davis Vision: No Change The Standard Life: No Change The Standard LTD: No Change

  9. Monthly EE Increases

  10. Raise vs. Premium Increase

  11. PBM Request for Proposals • IBAC PBM contract expires June 30, 2014 • Request for Proposal (RFP) underway • Collectively, over $200 million in prescription drugs • New pages in Program Guide • Program Guide to be distributed late July

  12. ACA Reminders • No Pre-ex starting July 1, 2014 • “Small Large Employer” delay: July 1, 2016 for those with 50 – 99 FTE’s • Substitutes, and other variable hour employees offered medical only effective July 1, 2015 or July 1, 2016 • Offer to 70% of 30 hour FTE in 2015, 95% in 2016 • SBC’s & Exchange Notice distribution

  13. Pending Rule Changes • Open Enrollment for Medical in the Fall with a Jan. 1 Effective Date (no more late enrollment) •  A QE allows EE to enroll to medical (or enroll deps. within 31 days) • No more 61 days to provide missing supportive docs for deps.; Rule changing to 31 days • Coverage for deps. Effective the first of the month following date the missing supportive docs. are turned in

  14. The Standard Special Enrollment • March 17 – April 21 • Identify eligible employees never enrolled to Basic Life • Identify eligible employees never offered full benefits • Premium will appear on May bill • Special enrollment does not apply to substitutes or variable hour employees

  15. Online Enrollment Update • Statewide rollout next month • Enrollment options tailored to school offerings • Deductions reflect each school’s contribution schedule • Simpler Employee logon

  16. EOM Processing Cutoff • Average last day receipts are 135. • Two days before end of month is our suggested cutoff to appear on the bill • Urgent situations – contact your ERISA rep.

  17. In Closing . . . • Thanks! • Questions? • Comments?

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